Korean J Helicobacter Up Gastrointest Res.  2012 Jun;12(2):120-123. 10.7704/kjhugr.2012.12.2.120.

A Case of Gastric Emphysema Associated with Superior Mesenteric Artery Syndrome

• Kim M
• Yu JR
• Kim HU

• KMID: 1855200
• DOI: http://doi.org/10.7704/kjhugr.2012.12.2.120

Abstract

We introduce a rare case of gastric emphysema. A 68-year-old man presented with vomiting and dyspnea. Simple abdominal X-ray and CT showed marked dilatation of the stomach and abnormal intramural gas consistent with gastric emphysema. We performed gastric decompression via nasogastric tube drainage and parenteral nutritional support. Nine days after admission, the abnormal intramural gas had disappeared on follow-up CT. The acute gastric dilatation in this patient may have resulted from gastric hypomotility as a result of diabetic gastroparesis in addition to superior mesenteric artery syndrome resulting from malnutrition.

Keyword

Superior mesenteric artery syndrome; Emphysema; Gastroparesis; Gastric dilatation; Gastric outlet obstruction

MeSH Terms

Aged
Decompression
Dilatation
Drainage
Dyspnea
Emphysema
Follow-Up Studies
Gastric Dilatation
Gastric Outlet Obstruction
Gastroparesis
Humans
Malnutrition
Mesenteric Artery, Superior
Nutritional Support
Stomach
Superior Mesenteric Artery Syndrome
Vomiting